AHCCCS Provider Enrollment/Application Fee

Online Provider Enrollment/Application Fee Guidelines

Making an Online Provider Enrollment/Application Fee payment is a free service offered through AHCCCS. This service is
designed in accordance with the Affordable Care Act, effective January 1, 2012 for AHCCCS Administration to collect an
enrollment/application fee for required provider types.

Payment Options

You can use a Visa, Master Card, American Express, Credit/Debit Card, or
enter a bank account number to make a payment. For the bank account
payment option, you will need your account number and the bank routing
number. Cash, checks and money orders are not acceptable forms of payment.

Payment Scheduling Information

Please read the following scheduling information

It is recommended that you schedule payments at least 3 business days before the
actual due date.

Same Day Processing: Complete your payment request
by 3:00 pm (AZ).

Next Business Day Processing: Complete your payment
request after 3:00 pm (AZ).